Cypress Gardens Care Center - Riverside Nursing Home
General Information
UPDATEFederal Provider Number
56315
Provider Name
CYPRESS GARDENS CARE CENTER
Provider Address
9025 COLORADO AVENUE
RIVERSIDE, CA 92503
RIVERSIDE, CA 92503
Provider Phone Number
(951) 688-3643
Provider SSA County
430
Provider County Name
Riverside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
9025 COLORADO AVENUE LLC
Date First Approved to Provide Medicare and Medicaid services
1971-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48684
Reported LPN Staffing Hours per Resident per Day
0.86535
Reported RN Staffing Hours per Resident per Day
0.32588
Reported Licensed Staffing Hours per Resident per Day
1.19123
Reported Total Nurse Staffing Hours per Resident per Day
3.67807
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04386
Expected CNA Staffing Hours per Resident per Day
2.58633
Expected LPN Staffing Hours per Resident per Day
0.67603
Expected RN Staffing Hours per Resident per Day
1.14059
Expected Total Nurse Staffing Hours per Resident per Day
4.40296
Adjusted CNA Staffing Hours per Resident per Day
2.35931
Adjusted LPN Staffing Hours per Resident per Day
1.06244
Adjusted RN Staffing Hours per Resident per Day
0.21348
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36727
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
90.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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